Laserfiche WebLink
'i <br /> APPLICATION FOR RIGHT-OF-WAY USE PERMIT <br /> IType or print clearly with Ink <br /> PRESS HARD- YOU ARE MAKING COPIES <br /> PUBLIC WORKS <br /> EVERETT.WASHINGTON PERMI f NO. <br /> APPLICANT(UNDERSIGNED) AND FIRM REPRESENTED, IF ANY: <br /> HEREBY APPLIES FOR PERMISSION TO -- -- <br /> AT THE FOLLOWING LOCATION_ -�_ 7 7 r ��• Sr W r <br /> i <br /> DRAWING (WORK TO BE DONE) OR THREE PLANS ATTACHED: <br /> i <br /> CONDITIONS <br /> 1. Existing sidewalks, curbs and gutters are undamaged- any damage done <br /> to same during construction will be repaired or, removed and replaced to <br /> thi P.W. Inspectors satisfaction. <br /> 1 2. ExISL11.g driveways should be utilized for new homes, if new driveways have <br /> J to be installed - the existing curbs and gutters must be totally removed <br /> and replaced at new driveway location - KNOCKING OFF OF CURB IS NOT <br /> ALLOWED. <br /> 3. All concrete removals must be saw-cut or taken out to nearest expansion <br /> joint. <br /> 1 <br /> DRIVEWAY SECTit, r <br /> PERMIT IS VALID FOR 60 DAYS � ___ � <br /> COPY OF THIS APPLICATION TO BE POSTED <br /> ON JOBSITE. <br /> CALL FOR INSPECTION 259-88 <br /> 24 HOURS BEFORF. CONSTRUCTION The undersigned owner hereby agrees to holo and Save harmless <br /> The City of Everett from any and all claims for damages, cosh. <br /> expenses.or causes of action that may arse because of installation <br /> j and maintenance of the Improvement or other right-of-way use <br /> hereto applied for and further agrees to remora same upon notice <br /> from the City and to replace public property damaged thereby. <br /> DEPARTMENT APPROVALS <br /> SEWER COMMUNICATIONS /,�/fsT�O •./uJ�L L�i fl.r� ��C <br /> DRAINAGE TRAFFIC <br /> i WATERPLANNING NATURE OF APPLICANT Jr <br /> re 13 r <br /> STREET DDDR SS <br /> ` er L"(--14x-V <br /> CITY 7 ZIP <br /> j3 • U ION DATE <br /> TT • TELEPHONE NUMBEFLM ALIERNAIE <br /> AP R VEG ASG NSTf C E i .� DATE DATE <br /> CONSTRUCTION/AS BUILT FEE 1978 <br />